| NPI | 1760123475 |
|---|---|
| Other Name | O'HARE WELLNESS LLC |
| Doing Business As | CLOVIS FAMILY HEALTHCARE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | BLAKE O'HARE Owner 575-760-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-06-26 |